Hospice qualifying diagnosis
Hospice Eligibility and Diagnosis Guidelines -
Co-morbidities – although not the primary hospice diagnosis, the presence of disease such as the following, the severity of which is likely to contribute to a life expectancy of six months or less, should be considered in determining hospice eligibility. Chronic obstructive pulmonary disease. Congestive heart failure. Ischemic heart disease
[DOC File]FAQ’s for HCC - PPMSI
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Patient elects to receive Skilled Nursing Benefit for qualifying illness. The Hospice Physician is unable to certify that the patient has a terminal diagnosis with a six-month prognosis. The patient moves outside the Hospice catchment area. Patient may be referred to another Hospice Program if available.
[DOC File]LCD for Hospice - Determining Terminal Status …
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Hospice Services providers must meet the Provider Participation and enrollment requirements contained within Section 140.000 of this manual as well as the following criteria to be eligible to participate in the Arkansas Medicaid Program: A. The hospice provider must be certified as a Title XVIII (Medicare) hospice provider.
[DOC File]Program of All-Inclusive Care for the Elderly (PACE ...
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CSHCS clients who have a qualifying diagnosis which includes coverage for glasses must obtain these services through the contractor (see Appendix A for contact information). Local optical companies or optometrists may agree to complete the necessary forms for ordering frames and lenses on …
[DOC File]Table Of Contents - Michigan
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Title: Department of Veterans Affairs Author: Preferred Customer Last modified by: Albany OI Field Office Created Date: 2/14/1997 12:17:00 PM Company
[DOC File]MyWhatever.com: Multisite content management
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A diagnosis code number is not acceptable. ... 2. The patient is in a hospice program and the prescription documents that fact; 3. The prescription is for a narcotic preparation to be administered by infusion, meaning ... A prescriber may only exceed the initial 7-day prescribing limit if there is a qualifying exception . as listed in the ...
[DOCX File]Overview of the Program - The Official Website of …
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Apr 14, 2009 · A9. Yes, documentation (see FAQ #8 for non qualifying documentation) in the patients chart prior to confirmation in the HCC Member Editor. Q10. A Diagnosis is not listed on the HCC Member Editor. A10. Locate the member in the HCC Member Editor. Click on “Add New ICD9 Code” or “Add New ICD9 Code – By HCC Category”.
MassHealth, in conjunction with the Centers for …
E. Individuals diagnosed with a serious mental illness or mental retardation are not eligible for the Program of All-Inclusive Care for the Elderly unless they have medical needs unrelated to the diagnosis of mental illness or mental retardation and meet the other qualifying criteria. A diagnosis of severe mental illness or mental retardation ...
[DOC File]A GUIDE TO PRESCRIBING, ADMINISTERING AND …
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The base data for this rating category was developed based on member months and expenditures not in F1 or C3, who had any claims in the Medicaid FFS data with a qualifying diagnosis (listed above) and/or non-outpatient claims in the Medicare–Medicaid crossover or Medicare FFS data with a qualifying diagnosis (listed above).
[DOC File]Hospice Section II - Arkansas
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Hospice is available under Medicaid if the recipient is expected to die from illness within six (6) months. Coverage is available for two (2) consecutive periods of ninety (90) calendar days followed by an unlimited number of periods of sixty (60) calendar days. ... and qualifying behavioral health diagnosis. Additional units can be prior ...
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